The Community Living Center Social Worker is a licensed practitioner providing direct services to patients and their families. The work of the position requires the application of a professional knowledge of the principles and practices of Social Work. The incumbent is responsible for applying professional social work techniques, methods, and skills in all types of social work to patients and their families/significant others, with a minimum of technical supervision and full freedom of independent action. The cases represent all types of biopsychosocial problems, with no limitations as to the difficulty of the services to be performed or the depth of the therapeutic relationship to be engaged in. Services are rendered mainly through professional interviews with the patient, family members, and other interested persons. The goal of the social worker is to identify, through psychosocial assessment, the social, emotional, interpersonal, and environmental factors that may be contributing to the illness, interfering with the utilization of medical care, or impeding the process of discharging the individual to the community and of his or her rehabilitation. Social work treatment, which can be brief or extensive, is directed toward identifying and improving negative environmental influences. The Social Worker is involved in dealing with the complex social and emotional problems, which arise from advanced age, with special attention paid to age-specific problems in the geriatric population. Direct Care with Patients and their Families The Social Worker is attuned to the myriad of bio-psychosocial problems that face patients with psychiatric disorders, chronic disability, acute or terminal illness, in addition to the more routine requests for practical assistance, e.g., financial concerns, benefits, housing, etc. Inpatient Social Workers are responsible for documenting their clinical activity in the event capture system. Outpatient Social Workers are required to complete encounter forms on each patient seen. Social work will need to identify the needs and coordinate services to ensure that the biopsychosocial needs of each resident are met. Participation in the development and reassessment, as needed, of individualized social service and interdisciplinary care plans designed to meet the biopsychosocial needs of each resident. Social worker will assist residents and families in locating and using financial, legal, mental health, land other community resources. Advocacy of appropriate care and treatment of residents through the development and implementation of policies and education of residents, staff, and family members regarding residents' rights, as well as consultation with the long-term care team. The Social Worker will ensure that mental health services are available to resident to assist with attaining or maintaining the highest level of mental and psychosocial well-being. The Social Worker will act as a resource to CLC psychologist participating in behavioral interventions. The Social Worker will attend behavioral committee meetings. The Social Worker will coordinate Interdisciplinary team meetings and ensure completion of MDS daily. The Social Worker will provide education such as completion of Advance Directive. Interdisciplinary Collaboration The incumbent participates independently in team conferences, discharge planning meetings. The Social Worker-requests medical or other information necessary for psychosocial planning and carries out independent responsibility for interpreting psychosocial data and presenting the social work treatment recommendations. Community Contacts In arranging for the discharge of residents, referrals are made to numerous psychosocial, health, rehabilitation, or multi-purpose community agencies. At times the incumbent will gather resources where none are available, such as foster or boarding homes, or unique placements for severely disabled individuals. Student Training The Social Worker may supervise and train social work student interns participating in MSW programs, functioning in the role of field instructor for the school of social work, as assigned. Documentation Chart documentation occurs electronically through the Computerized Patient Record System (CPRS). The Social Worker also has responsibility for the preparation of correspondence to patients, families, nursing homes, and community agencies or to other VA medical centers. Administrative Activity and Staff Development The Social Worker prepares any reports requested regarding social work activity and enters appropriate data electronically when indicated. The incumbent is expected to participate actively by discussion and by the periodic presentation of case material, which is used for staff development purposes. The Social Worker recognizes responsibility for self-development by study of professional literature and attendance at professional programs. Work Schedule: Mon-Fri 8:00am-4:30pm Telework: Not available Virtual: This is not a virtual position. Position Title/Functional Statement #:Social Worker/PD21W89A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.